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North Dakota rates for HCPCS J2792

Injection Rho D Immune Globulin Intravenous Human Solvent Detergent 100 Iu (Special Coverage Instructions Apply. See Mcm: 2049)

Insurance Carrier
Aetna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$25.46 / $25.46 / $55.39
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$25.46 / $25.46 / $37.22
BCBS
Facility/Professional
Facility
Modifier
Low / Median / High Price
$27.62 / $27.76 / $28.11
BCBS
Facility/Professional
Professional
Modifier
Low / Median / High Price
$23.48 / $27.72 / $27.97
Cigna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$33.11 / $33.11 / $41.39
Medica
Facility/Professional
Facility
Modifier
Low / Median / High Price
$30.08 / $33.71 / $52.31
Medica
Facility/Professional
Professional
Modifier
Low / Median / High Price
$30.77 / $34.46 / $36.40
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$25.46 / $28.52 / $28.52